
University of Mississippi Medical.
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Jackson, MS
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Long-term. -
Full-time.
Invite Applicant!
We wish to make sure that the application procedure is smooth and effective and suggest the following ideas:
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Thank you,
Human Resources
Important Applications Instructions:
Please finish this application in totality by supplying all of your work experience, education and accreditations/
license. You will be not able to edit/add/change your application once it is sent.
Job Requisition ID: R00016279
Job Category: Clinical (Non-Faculty Only)
Organization: SOD-Revenue Cycle Manager-Patient Accounts
Location/s: Main Campus Jackson
Job Title: BILLING SPECIALIST II- School of Dentistry- FEET
Job Summary: Handles complicated client account functions such as task and confirmation of insurance coverage and medical codes, confirmation of legal modifications and payments, and evaluation and submission of refunds. To make sure that all billing, charges, and claims are published and coded properly into the billing system. To refer third-party payers concerning claim status and submission. To produce specialized reports on insurance coverage claims and solves problem/issues within the reports.
Education & Experience
High school/GED plus 3 (3) years of medical billing experience, or comparable mix of education and experience.
Certifications, Licenses or Registration Required: NA
Knowledge, Skills & Abilities
- Proficient understanding of billing and medical claims processing. Capability to keep privacy.
Verbal and composed interaction abilities.
Organizational abilities. Computer system abilities consisting of however not restricted to efficiency in data processing and spreadsheets.
Responsibilities
- Reviews, procedures, and fixes up specialized or intricate insurance coverage claims. Might appoint insurance coverage codes, status codes, and charges in preparation for the info to be published in balance dues. Validates that medical codes are shown on encounter kinds and guarantees the precision of all claims posts and codes.
- Verifies and publishes legal changes from third-party payers. Validates precision of agreement payments. Transfers account balances to client or secondary insurance coverage duty. Prepares client made a list of declarations.
- Reviews accounts while publishing to figure out if a refund is required. Prepares client detailed declarations.
- Prepares paperwork to validate the issuance of a refund to the proper accountable celebration. Gets in charge credits to reverse inaccurate charges and re-enters remedied charges.
- Reviews summary aging reports and targets files by insurer to make sure that claims pending insurance coverages are adjudicated prompt.
- Works with outdoors debt collection agency on overdue client accounts.
- May act as work lead in billing location. Assists in training of brand-new workers.
- Trends payer problems, and reports them, consisting of account examples to manager and director.
- Develops and develops relationships with other service locations and departments to deal with billing problems.
- Corrects claims that are on rejection report, Medicare or HMO rejections, b/c rejections, or industrial rejections.
- The responsibilities noted are basic in nature and are examples of the tasks and obligations carried out and are not indicated to be interpreted as special or extensive. Management keeps the right to include or alter responsibilities at any time.
Physical and Environmental Demands
Requires regular activities based on substantial volume modifications of a seasonal/clinical nature, regular work produced based on exact steps of amount and quality, continuous sitting. (occasional-up to 20%, frequent-from 21% to 50%, continuous-51% or more)
Time Type: Full time
FLSA Designation/Job Exempt: No
Pay Class: Hourly
FTE %: 100
Work Shift:
Benefits Eligibility:
Job Posting Date: 09/ 7/2021
Job Closing Date (open till filled if no date defined):.
University of Mississippi Medical.
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Apply Now.
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